Individual
MICHELLE W GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
237 SHAW HILL RD, HAMPDEN, ME 04444-3410
(207) 941-4113
(207) 941-4062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
015572
ME
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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